Cristina Harris
Beaumont,TX
Summary
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
7
7
years of professional experience
Work History
Escalation Response Specialist II
Centene Corporation
01.2024 - Current
- Identifying trends and underlying issues to improve processes and reduce future complaints.
- Provides timely and appropriate resolutions to escalated issues received from various communication channels
- Supports the documentation, tracking, and resolution to all assigned complaints and inquiries in writing and/or by telephone in a timely and professional manner
- In some instances, researches and identifies basic claims payment errors and make appropriate adjustments
- Managed approximately 150+ chats per month, worked over 45 offline cases per day, and maintained quality scores of 98%.
Envolve Dental
Centene Corporation
01.2023 - 01.2024
- Understood dental terminology and insurance breakdowns to communicate with members and providers.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Handled patient complaints quickly and professionally to restore patient confidence and prevent loss of clientele.
- Communicated required insurance information by telephone to patients, physician offices, third party payers and agencies.
- Managed approximately 150 incoming calls, emails and faxes per day from customers.'
Customer Service Representative I
RADIOLOGY PARTNERS
11.2020 - 03.2022
- Processed billing calls and answered questions from patients and third-party carriers.
- Generated and distributed monthly customer statements.
- Analyzed customer medical claims to determine appropriate payment plan.
- Researched billing errors and discrepancies to initiate corrective action.
Eligibility Specialist
NThrive
04.2018 - 11.2020
- Trained staff on current eligibility requirements, policies, and collections.
- Processed and certified documents for accuracy and compliance with government regulations.
- Assisted clients with completion of applications and paperwork utilizing Corcis.
- Entered details into computer systems and managed database of information.
- Assisted patients in understanding individual rights and responsibilities in regards to care, coverage, and payment.
Education
Bachelor of Arts - General Studies
Lamar University
Beaumont, TX12.2016
Skills
- Team collaboration
- De-escalation techniques
- Collections experience
- Medical terminology
Timeline
Escalation Response Specialist II
Centene Corporation
01.2024 - Current
Envolve Dental
Centene Corporation
01.2023 - 01.2024
Customer Service Representative I
RADIOLOGY PARTNERS
11.2020 - 03.2022
Eligibility Specialist
NThrive
04.2018 - 11.2020
Bachelor of Arts - General Studies
Lamar University
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